NPI | 1558130302 |
---|---|
Doing Business As | CHP DENTAL MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | TOM WALBRIDGE Executive President.Chief Financial 413-528-9311 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 124Q00000X Dental Hygienist |
126800000X Dental Assistant | |
Enumeration Date | 2023-12-21 |
Last Update Date | 2023-12-21 |